| NPI | 1639215718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 5245/00516) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 5245) |
| 152W00000X Optometrist (Licence: NJ 00516) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2022-04-18 |